Family Planning and Reproductive Health
- Factors Associated With Delayed Contraceptive Implant Removal in Ethiopia
Women receiving implant insertion at the community level were significantly more likely to report keeping their implant for more than 3 years. Even when a referral or back-up system for removals existed, efforts to task-shift the provision of contraceptive implants may have inadvertently led to extended implant use.
- Measuring Service Quality and Assessing Its Relationship to Contraceptive Discontinuation: A Prospective Cohort Study in Pakistan and Uganda
The quality of services provided is likely to affect contraceptive continuation. However, findings are strongly influenced by the quality measurement tools used, emphasizing the need for standardization.
- Contraception in the Era of COVID-19
As global health systems and communities prepare to meet an unprecedented threat causing increased demands for the care of people with COVID-19, health care providers should strive to ensure continuity of reproductive health care to women and girls in the face of facility service disruption.
- Doing Things Differently: What It Would Take to Ensure Continued Access to Contraception During COVID-19
COVID-19 may fundamentally change women’s contraceptive use, meaning that the future we have been planning and procuring for, may not match these changes. In these unprecedented times, we must rethink how we link product and program in the short-term to ensure women’s changing needs are met.
- Scaling Up Access to Implants: A Summative Evaluation of the Implants Access Program
The Implants Access Program increased access to implants by addressing price, supply chain, service delivery, and knowledge and awareness barriers. Sustaining progress requires institutionalized mechanisms to continue global efforts and long-term assurances that implants’ low price will be maintained.
- What Goes In Must Come Out: A Mixed-Method Study of Access to Contraceptive Implant Removal Services in Ghana
Many Ghanaian women seeking implant removal are able to obtain services, but knowledge and access gaps exist.
- Evaluating the Implementation of an Intervention to Improve Postpartum Contraception in Tanzania: A Qualitative Study of Provider and Client Perspectives
Training and supervision to improve interpersonal aspects of care, including an emphasis on patient-centered counseling, informed choice, and respectful and nondiscriminatory service delivery, should be integrated into future postpartum family planning initiatives.
- Recall Efforts Successfully Increase Follow-Up for Cervical Cancer Screening Among Women With Human Papillomavirus in Honduras
A reminder phone call had a substantial impact on high rates of women returning for rescreening among those at high risk of developing cervical precancer. Scaling up routine cervical screening coverage must be accompanied by efforts to retain women throughout the screening cascade and continuum of care.
- Close to Home: Evidence on the Impact of Community-Based Girl Groups
Available evidence, though limited, shows that programs can use community-based girl groups to help adolescent girls improve attitudes toward gender roles and norms, early pregnancy, and child marriage; evaluations indicate they have suboptimal performance on health behavior and health status.
- Insights Into Provider Bias in Family Planning from a Novel Shared Decision Making Based Counseling Initiative in Rural, Indigenous Guatemala
Race, ethnicity, and indigenous status should be considered as potential drivers of provider bias in family planning services globally. Efforts to confront provider bias in family planning counseling should include concrete strategies that promote provider recognition of biases and longitudinal curriculums that allow for sustained feedback and self-reflection.